NPI 1093709594

Jerry J Deola, OD

Practitioner Optometrist Woodbridge, VA

Practice location

Address: 4460 Dale Blvd, Woodbridge, VA 22193-2534
Phone: (703) 670-8085

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0601000801 (VA)

Other Optometrist providers in Virginia →

Registry record

NPI: 1093709594
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2005
Record last updated: 21 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.